Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- numerical rating scale at rest
研究概览
简要总结
The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward.
The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
详细描述
The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB.
The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patient age equal or more than 65 years old
- •patient with acute hip fracture within 7 days
- •patient with NRS ≥ 5
排除标准
- •patient refusal
- •history of local anesthetic allergy
- •inability to communicate or cognitive dysfunction
- •multiple fracture involvement
结局指标
主要结局
numerical rating scale at rest
时间窗: Change from baseline numerical rating scale at 30 minutes post-block
numerical rating scale 0-10 (0=no pain, 10=worst pain)
numerical rating scale during movement
时间窗: Change from baseline numerical rating scale at 30 minutes post-block
numerical rating scale 0-10 (0=no pain, 10=worst pain)
次要结局
- Duration of hospital admission(from hospital admission until hospital discharge, an average of 1 week)
- Numerical rating scale during movement(Within 48 hours postoperative)
- Rate of complications of continuous fascia iliaca compartment analgesia(Within 48 hours postoperative)
- Number of participants with morbidity and mortality(6 weeks after hospital discharge)
研究者
Suwimon Tangwiwat
Department of Anesthesiology
Mahidol University